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coq I SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> In <br /> t� <br /> Ab 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> " '.•'• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �4t1a `��4 PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: CIN: 's E <br /> OWNER NAME: 1W DATE: <br /> ApN '23 APPLICATION M DEPTH To FIRST WATER: Pt i <br /> SOIL TYPE: <br /> REMARKS: <br /> I <br /> r <br /> LOCATION OF TEST HOLES(sHow WELLS AND STRUCTURES) <br /> II [ II [ llllll '• IIII �IIIIi illliil 's ! il ( 1 ( 11 <br /> I ' �lllillili ! i1IL 's I Ill <br /> i l i E I 1 ' <br /> I <br /> IIIIIIIIIi ILMI—II I Illi I I IIII III { <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil T e Depth Soil Type DeA Soil Type <br /> i <br /> � � 4 <br /> �» Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in Depth: in Parcel: Diameter: in De the in I <br /> I <br /> i <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> c <br /> 5 <br /> f <br /> PERCOLATION RATE: a min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA- _ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: � "_ Phone: Date <br /> TEST CERTIFIED BY: m Phone: Date <br /> Phone Date <br /> OBSERVED BY(RENS): 1 1ti_ <br />